Individual
WILLIAM ROBERT COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
412 MDG EDWARDS AFB CA, EDWARDS AFB, CA 93524-0001
(661) 277-3132
Mailing address
42430 56TH ST W, QUARTZ HILL, CA 93536-4450
(661) 839-5673
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/11/2009
Last updated
12/19/2012
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